结膜瓣遮盖术在难治性角膜溃疡治疗中的临床价值

The value of conjunctival flaps in the management of refractory corneal ulcer

难治性角膜溃疡是指一类针对性用药治疗无效、病程长、病情反复迁延的角膜溃疡，包括各种感染性角膜溃疡、无菌性角膜溃疡及角膜移植术后植床或植片溃疡等。对于这类溃疡是继续采取药物治疗、羊膜移植、角膜移植还是结膜瓣遮盖术，一直是眼科临床的焦点与难点问题。如何选择合适的手术方式、以最小的眼部损伤、最短的治疗时间及最经济的手段治愈这类角膜溃疡是眼科医师期望解决的难题。本文针对此问题阐述了结膜瓣遮盖术这一传统的手术方式在治疗难治性角膜溃疡中桷侩值.

Refractory corneal ulcer, include infective, sterile and graft ulcer after corneal transplantation, is oppositional to the routine medical therapy and difficult to be managed with other methods. Among amniotic transplantation, corneal transplantation, and conjunctival flaps, which is the best way to treat the refractory corneal ulcer？ This problem has puzzled the ophthalmic surgeons for a long time. This paper focused the indication and technique of conjunctival flaps, analyzed the results of some common refractory corneal ulcer treated by the conjunctival flap, and evaluated the value of conjunctival flaps in the management of the refractory corneal ulcer.